Midwest Consultants for Cognitive Medicine, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071007105 Issued in IL

Legal business name

MIDWEST CONSULTANTS FOR COGNITIVE MEDICINE, LLC

Practice address

310 S Greenleaf St Ste 205
Gurnee, IL 60031-5708

Phone

(847) 282-4421

NPI assigned

Aug 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy Freeze

Title

Practice Consultant

Phone

(219) 926-8320

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1174837017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040357",
            "telephone_number": "219-926-8320",
            "fax_number": "219-926-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S GREENLEAF ST STE 205",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315708",
            "telephone_number": "847-282-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CONSULTANTS FOR COGNITIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "FREEZE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRACTICE CONSULTANT",
        "authorized_official_telephone_number": "219-926-8320"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071007105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa S Kostial-Janos P.C.
• Teriahna Mercado Lexi Mercado
• Kristin Elaine Messinger, FNP
• Margaux N Metellus, MD
• Kay B. Meyer, CCC-SLP
• Midwest Sleep Medical Equipment
• Elizabeth Mika, M.S.,LCPC
• Erin Ashlee Miller
• Robin L. Miller, LCSW
• Megan Amber Miskinis

• Clinical Neuropsychologist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.